Journal of Clinical and Experimental Ophthalmology
Open Access
ISSN: 2155-9570
ISSN: 2155-9570
Dareen Khawjah, Rahaf Mandura, Abeer Alharbi
King Abdulaziz University Hospital, Kingdom of Saudi Arabia
Scientific Tracks Abstracts: J Clin Exp Ophthalmol
Background: Idiopathic intracranial hypertension (IIH) is a disorder with elevated intracranial pressure (ICP) more than 250 mm H2O, without evidence of meningeal inflammation, space-occupying lesion, or venous thrombosis. In this study, we aimed to study the clinical profile, evaluation, management, and visual outcome in a hospital-based population of IIH cases in Jeddah. Methodology: It is a retrospective observational study. The medical records of all patients referred to neuroophthalmology service for evaluation of papilledema were reviewed in the period from October 2018 to February 2020 at Jeddah Eye Hospital (JEH), Saudi Arabia. A total of 51 patients presented with papilledema in the studied period. Forty-seven patients met our inclusion criteria and were included in the study. Results: Most of the patients were females (43, 91.5%) and the mean age of presentation was 30.83±11.40 years. The most common presenting symptom was headache (40 patients, 85.1%), followed by transient visual obscuration (20 patients, 42.6%), and reduced visual acuity (15 patients, 31.9%). All 47 patients were started on medical treatment with oral acetazolamide with four patients (8.5%) shifted to topiramate because of lack of response or intolerance to acetazolamide and four patients (8.5%) underwent lumbar-peritoneal shunt because of inadequate control of the disease despite medical therapy. The change in visual acuity across all assessment points was statistically significant; however, there were no significant changes in the visual field findings. Conclusion: The present study shows that IIH-related papilledema is common in young female patients with headaches, transient visual obscurations, and reduced visual acuity being the commonest symptoms in our IIH population. Medical treatment of IIH is significantly efficacious and should be considered to enhance the prognosis of IIH-related complications. Besides, the visual status should be frequently monitored in these patients.
Dareen khawjah , a senior ophthalmology resident at western program , Saudi Arabia , a teaching assistant at King Abdulaziz University Hospital. She is interested in research and education. She publishes many articles in reputed journals.